LEGACY MEDICAL CLINICS NPI 1295406239

NPI Information

  • NPI: 1295406239
  • Provider Name: LEGACY MEDICAL CLINICS
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • :
  • Address: 830 N KROME AVE
    HOMESTEAD, FL
    ZIP 33030
  • Phone: (305) 726-2084

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NPI Details

LEGACY MEDICAL CLINICS is a family medicine in Homestead, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LEGACY MEDICAL CLINICS NPI is 1295406239. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

830 N KROME AVE
HOMESTEAD, FL
ZIP 33030-407
Phone: (305) 726-2084

The provider's authorized official is Ronald Goncalves .
The authorized official title is Manager and has the following contact phone number (786) 261-3143.

The enumeration date for this NPI number is 9/21/2021 and was last updated on 4/9/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes
2261QM0850XClinic/CenterAdult Mental HealthNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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